Individual
JONATHAN VICTOR GOLDSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 N CENTRE AVE, SUITE 306, ROCKVILLE CENTRE, NY 11570-3923
(516) 264-5900
(516) 594-9728
Mailing address
77 N CENTRE AVE, SUITE 306, ROCKVILLE CENTRE, NY 11570-3923
(516) 264-5900
(516) 594-9728
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
092410
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00149028
—
NY
01
—
010092410NY01
ANTHEM
—
01
—
020015785
RAILROAD MEDICARE
—
01
—
0457009011
CIGNA
—
01
—
23614P
GHI
—
01
—
4266128
AETNA
—
01
—
522421
BLUE CROSS
—
01
—
6523
VYTRA
—
01
—
97942
USHC
—
01
—
A5398
OXFORD
—
01
—
AB45739
MDNY
—
01
—
OC3104
HEALTHNET
—
Enumeration date
01/17/2007
Last updated
01/26/2010
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